How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $660.69 Median $6,165.95 Typical High $20,892.96 | Facility | None | $660.69 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $912.01 | Professional | None | $371.54 | $575.44 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $1,819.70 Typical High $3,630.78 | Facility | None | $194.98 | $1,819.70 | $3,630.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $5,370.32 | Professional | None | $426.58 | $912.01 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $616.60 Typical High $1,047.13 | Facility | None | $467.74 | $616.60 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $1,174.90 | Professional | None | $407.38 | $741.31 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $758.58 Typical High $1,513.56 | Professional | None | $467.74 | $758.58 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,000.00 Typical High $1,584.89 | Professional | None | $169.82 | $1,000.00 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,288.25 | Facility | None | $851.14 | $1,174.90 | $1,288.25 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $691.83 | Facility | None | $213.80 | $346.74 | $691.83 |
Premera BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $870.96 | Professional | None | $426.58 | $426.58 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,819.70 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,288.25 | Professional | None | $426.58 | $776.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $2,884.03 | Facility | None | $134.90 | $346.74 | $2,884.03 |
United Setting Professional Modifier None Typical Low $407.38 Median $776.25 Typical High $1,548.82 | Professional | None | $407.38 | $776.25 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $912.01 | Professional | None | $346.74 | $524.81 | $912.01 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $407.38 Typical High $645.65 | Professional | 54 · Surgery only | $302.00 | $407.38 | $645.65 |
Where Washington sits
The same service costs 3.1 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 5th of 51
$832
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.